| NPI | 1538500681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD VAN WINKLE President 210-340-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |